JAMES & ELENA WELLS 2018 INCOME TAX RETURN...Form 1040 Department of the Treasury—Internal Revenue...

JAMES & ELENA WELLS3947 UNIVERSITY DRIVE

NASHUA, NH 030632018 INCOME TAX RETURN

INVOICE

Description Amount

Total Invoice

Amount Paid

Balance Due

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PRACTICE LAB15 PRACTICE LAB WAYWASHINGTON DC 20005

(202) 202-2022

JAMES R WELLS & ELENA A WELLS3947 UNIVERSITY DRIVENASHUA NH 03063(603) 555-1212

Preparer No.: 995Client No. : XXX-XX-0672Invoice Date: 01/10/2019

PREPARATION OF 2018 FEDERAL/STATE FORMS & WORKSHEETS:

FORM 1040FORM 1040 SCHEDULE 1 (ADDITIONAL INCOME AND ADJUSTMENTSFORM 1040 SCHEDULE 3 (NONREFUNDABLE CREDITS)FORM 1040 SCHEDULE 4 (OTHER TAXES)SCHEDULE A (ITEMIZED DEDUCTIONS)SCHEDULE A MEDICAL BREAKDOWNSCHEDULE A CONTRIBUTION WORKSHEETSCHEDULE B (INTEREST & DIVIDENDS)SCHEDULE C-EZSCHEDULE D (CAPITAL GAINS & LOSS)CAPITAL GAIN TAX WORKSHEETSCHEDULE SE (SELF-EMPLOYMENT TAX)FORM 1099-MISC (MISCELLANEOUS INCOME)FORM 1099-R (RETIREMENT DISTRIBUTIONS) (3)SSA WORKSHEETFORM 5329 (TAX ON EARLY RETIREMENT DISTRIBUTION)FORM 8283 (NON CASH CONTRIBUTIONS)FORM 8879 (E-FILE SIGNATURE AUTHORIZATION)QUALIFIED BUSINESS INCOME DEDUCTION WORKSHEET

$0.00

$0.00

$0.00

TAX YEAR: 2018 PROCESS DATE: 01/10/2019

CLIENT : 306-00-0672 JAMES R WELLS BIRTH DATE : 10/01/1947 Age:71SPOUSE : 316-00-0672 ELENA A WELLS BIRTH DATE : 08/16/1960 Age:58

ADDRESS : 3947 UNIVERSITY DRIVE PREPARER : 995 : NASHUA NH 03063

Home : (603) 555-1212 PREPARER FEE : Work : - ELECTRONIC : Cell : - TOTAL FEES : STATUS : 2FED TYPE: Electronic MailST TYPE : Regular Tax EFFECTIVE RATE: 11.56%E-MAIL : [email protected]

_____________________________________________________________________________________LISTING OF FORMS FOR THIS RETURN________________________________

FORM 1040SCHEDULE 1 (ADDITIONAL INCOME AND ADJUSTMENTS TO INCOME)SCHEDULE 3 (NONREFUNDABLE CREDITS)SCHEDULE 4 (OTHER TAXES)FORM SSA-1099 (SOCIAL SECURITY BENEFITS)FORM 1099-R (RETIREMENT DISTRIBUTIONS)FORM 1099-MISC (Miscellaneous Income)SCHEDULE A (ITEMIZED DEDUCTIONS)FORM 8283 (NON CASH CONTRIBUTION)SCHEDULE B (INTEREST/DIVIDEND INCOME)SCHEDULE C-EZ (BUSINESS INCOME)SCHEDULE D (CAPITAL GAINS/LOSSES)SCHEDULE SE (SELF EMPLOYMENT TAX)FORM 5329 (TAX ON EARLY RETIREMENT DISTRIBUTIONS)QUALIFIED BUSINESS INCOME DEDUCTION WORKSHEETFORM 8879 (E-FILE SIGNATURE AUTHORIZATION)

* QUICK SUMMARY *_____________________________________________________________________________________SUMMARY__________________________________________________________________________FILING STATUSTOTAL INCOMETOTAL ADJUSTMENTSADJUSTED GROSS INCOMEDEDUCTIONSEXEMPTIONSTAXABLE INCOMETAXCREDITSPAYMENTSOTHER TAXESEARNED INCOME CREDITREFUNDAMOUNT DUE

FEDERAL 2 80769 2250 78519 37190 0 40909 4452 17 8600 296 0 3869 0

CLIENT : JAMES WELLS 306-00-0672SPOUSE : ELENA WELLS 316-00-0672

PREPARER : 995 DATE : 01/10/2019_____________________________________________________________________________________* 1099-R INCOME FORMS SUMMARY *_____________________________________________________________________________________

[T/S] PAYER GROSS DIST TAXABLE AMT FED WITH STATE WITH ST ____________________________________________________________________________1. T FIRST TRUST CO 142260 0 0 02. T DFAS 42567 42567 4900 03. S VANGUARD 7000 7000 700 0

TOTALS...... 191827 49567 5600 0

* 1099-MISC INCOME FORMS SUMMARY *_____________________________________________________________________________________

OTHER FEDERAL NONEMPLOYEE [T/S] PAYER RENTS ROYALTIES INCOME WITH COMPENSATION _______________________________________________________________________________________1. T BUTLER PUBLISHING CO 0 0 0 0 2100

TOTALS...... 0 0 0 0 2100

* FORM SSA-1099 INCOME FORMS SUMMARY *_____________________________________________________________________________________

[T/S] PAYER SSA BENEFITS FED WITH PREMIUMS _________________________________________________________________________ 1. T U.S. 13568 1000 02. S U.S. 23987 2000 0

TOTALS...... 37555 3000 0

Form 8879Department of the Treasury Internal Revenue Service

IRS e-file Signature Authorization

Return completed Form 8879 to your ERO. (Don’t send to the IRS.)

Go to www.irs.gov/Form8879 for the latest information.

OMB No. 1545-0074

2018

Submission Identification Number (SID)

Taxpayer’s name Social security number

Spouse’s name Spouse’s social security number

Part I Tax Return Information — Tax Year Ending December 31, 2018 (Whole dollars only)1 Adjusted gross income (Form 1040, line 7; Form 1040NR, line 35) . . . . . . . . . . . . 1

2 Total tax (Form 1040, line 15; Form 1040NR, line 61) . . . . . . . . . . . . . . . . 2

3 Federal income tax withheld from Forms W-2 and 1099 (Form 1040, line 16; Form 1040NR, line 62a) . 3

4 Refund (Form 1040, line 20a; Form 1040-SS, Part I, line 13a; Form 1040NR, line 73a) . . . . . . 4

5 Amount you owe (Form 1040, line 22; Form 1040NR, line 75) . . . . . . . . . . . . . . 5

Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)

Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for the tax year ending December 31, 2018, and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only

I authorize ERO firm name

to enter or generate my PIN Enter five digits, but

don’t enter all zerosas my signature on my tax year 2018 electronically filed income tax return.

I will enter my PIN as my signature on my tax year 2018 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your signature Date

Spouse’s PIN: check one box only

I authorize ERO firm name

to enter or generate my PIN Enter five digits, but

don’t enter all zerosas my signature on my tax year 2018 electronically filed income tax return.

I will enter my PIN as my signature on my tax year 2018 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Spouse’s signature Date

Practitioner PIN Method Returns Only—continue belowPart III Certification and Authentication — Practitioner PIN Method Only

ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.Don’t enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the tax year 2018 electronically filed income tax return for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.

ERO’s signature Date

ERO Must Retain This Form — See Instructions

Don’t Submit This Form to the IRS Unless Requested To Do So

For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2018)

QNA

JAMES R WELLS 306-00-0672

ELENA A WELLS 316-00-0672

78519 4731 8600 3869

01/10/2019

Filing as Surviving Spouse

X PRACTICE LAB 1 0 6 7 2

X PRACTICE LAB 1 0 6 7 2

3 6 9 2 5 8 9 8 7 6 5

IRS PREPARER 01/10/2019

Form 1040 Department of the Treasury—Internal Revenue Service

U.S. Individual Income Tax Return 2018 OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

(99)

Filing status: Single Married filing jointly Married filing separately Head of household Qualifying widow(er)

Your first name and initial Last name Your social security number

Your standard deduction: Someone can claim you as a dependent You were born before January 2, 1954 You are blind

If joint return, spouse's first name and initial Last name Spouse’s social security number

Spouse standard deduction: Someone can claim your spouse as a dependent Spouse was born before January 2, 1954

Spouse is blind Spouse itemizes on a separate return or you were dual-status alien

Home address (number and street). If you have a P.O. box, see instructions. Apt. no.

City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6.

Full-year health care coverage or exempt (see inst.)

Presidential Election Campaign (see inst.) You Spouse

If more than four dependents, see inst. and here

Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see inst.):

(1) First name Last name Child tax credit Credit for other dependents

Sign Here Joint return? See instructions. Keep a copy for your records.

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Paid Preparer Use Only

Preparer’s name Preparer’s signature PTIN Firm’s EIN

Firm’s name Phone no.

Check if:

3rd Party Designee

Self-employed

Firm’s address

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2018) QNA

x

JAMES R WELLS 306-00-0672X

ELENA A WELLS

DECEASED:12/15/2018

316-00-0672

3947 UNIVERSITY DRIVE

NASHUA, NH 03063

X

01/10/19

01/10/19

RETIRED

Filing as Surviving Spouse DECEASED

S12345678 -

PRACTICE LAB15 PRACTICE LAB WAY WASHINGTON DC 20005

202-202-2022

Form 1040 (2018) Page 2

Attach Form(s) W-2. Also attach Form(s) W-2G and 1099-R if tax was withheld.

1 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . 1

2a Tax-exempt interest . . . 2a b Taxable interest . . . 2b

3a Qualified dividends . . . 3a b Ordinary dividends . . 3b

4a IRAs, pensions, and annuities . 4a b Taxable amount . . . 4b

5a Social security benefits . . 5a b Taxable amount . . . 5b

6 Total income. Add lines 1 through 5. Add any amount from Schedule 1, line 22 . . . . . 67

Adjusted gross income. If you have no adjustments to income, enter the amount from line 6; otherwise, subtract Schedule 1, line 36, from line 6 . . . . . . . . . . . . . . . . . 7Standard

Deduction for—

• Single or married filing separately, $12,000

• Married filing jointly or Qualifying widow(er), $24,000

• Head of household, $18,000

• If you checked any box under Standard deduction, see instructions.

8 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . . . 8

9 Qualified business income deduction (see instructions) . . . . . . . . . . . . . . 9

10 Taxable income. Subtract lines 8 and 9 from line 7. If zero or less, enter -0- . . . . . . . . 10

11 a Tax (see inst.) (check if any from: 1 Form(s) 8814 2 Form 4972 3

b Add any amount from Schedule 2 and check here . . . . . . . . . . . .

)

11

12 a Child tax credit/credit for other dependents b Add any amount from Schedule 3 and check here 12

13 Subtract line 12 from line 11. If zero or less, enter -0- . . . . . . . . . . . . . . 13

14 Other taxes. Attach Schedule 4 . . . . . . . . . . . . . . . . . . . . 14

15 Total tax. Add lines 13 and 14 . . . . . . . . . . . . . . . . . . . . 15

16 Federal income tax withheld from Forms W-2 and 1099 . . . . . . . . . . . . . 16

17 Refundable credits: a EIC (see inst.) b Sch. 8812 c Form 8863

Add any amount from Schedule 5 . . . . . . . . . . . . . . 17

18 Add lines 16 and 17. These are your total payments . . . . . . . . . . . . . . 18

Refund

Direct deposit? See instructions.

19 If line 18 is more than line 15, subtract line 15 from line 18. This is the amount you overpaid . . . . 19

20a Amount of line 19 you want refunded to you. If Form 8888 is attached, check here . . . . 20a

b Routing number c Type: Checking Savings

d Account number

21 Amount of line 19 you want applied to your 2019 estimated tax . . 21

Amount You Owe 22 Amount you owe. Subtract line 18 from line 15. For details on how to pay, see instructions . . . 22

23 Estimated tax penalty (see instructions) . . . . . . . . 23

Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2018)

QNA

WELLS 306-00-0672

1554 612 764 191827 49567 37555 27731

1153 80769

78519 37190 420 40909

4452 4452

X 17 4435 296 4731 8600FORM 1099

8600 3869 3869

X X X X X X X X XX X X X X X X X X X X X X X X X X

4b: ROLLOVER

SCHEDULE 1 (Form 1040)

Department of the Treasury Internal Revenue Service

Additional Income and Adjustments to Income Attach to Form 1040.

Go to www.irs.gov/Form1040 for instructions and the latest information.

OMB No. 1545-0074

2018Attachment Sequence No. 01

Name(s) shown on Form 1040 Your social security number

Additional Income

1–9 b Reserved . . . . . . . . . . . . . . . . . . . . . . . . 1–9b 10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . 1011 Alimony received . . . . . . . . . . . . . . . . . . . . . . 1112 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . 1213 Capital gain or (loss). Attach Schedule D if required. If not required, check here 1314 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . 1415a Reserved . . . . . . . . . . . . . . . . . . . . . . . . 15b16a Reserved . . . . . . . . . . . . . . . . . . . . . . . . 16b17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 1718 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . 1819 Unemployment compensation . . . . . . . . . . . . . . . . . 1920a Reserved . . . . . . . . . . . . . . . . . . . . . . . . 20b21 Other income. List type and amount 2122

Combine the amounts in the far right column. If you don’t have any adjustments to income, enter here and include on Form 1040, line 6. Otherwise, go to line 23 . . 22

Adjustments to Income

23 Educator expenses . . . . . . . . . . . . 2324

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 . . 24

25 Health savings account deduction. Attach Form 8889 . 2526

Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . . . . . . 26

27 Deductible part of self-employment tax. Attach Schedule SE 2728 Self-employed SEP, SIMPLE, and qualified plans . . 2829 Self-employed health insurance deduction . . . . 2930 Penalty on early withdrawal of savings . . . . . . 3031a Alimony paid b Recipient’s SSN 31a32 IRA deduction . . . . . . . . . . . . . . 3233 Student loan interest deduction . . . . . . . . 3334 Reserved . . . . . . . . . . . . . . . 3435 Reserved . . . . . . . . . . . . . . . 3536 Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . 36

For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2018

QNA

WELLS 306-00-0672

2100 -947

1153

148

1952 150

2250

QNA

WELLS 306-00-0672

17

17

QNA

WELLS 306-00-0672

296

0

296

QNA

JAMES & ELENA WELLS 306-00-0672

10068 78519

5889 4179

1856 235 2091

2091

2091

4570

4570

4570

23850

2500

26350

37190

SCHEDULE B (Form 1040)

Department of the Treasury Internal Revenue Service (99)

Interest and Ordinary Dividends Go to www.irs.gov/ScheduleB for instructions and the latest information.

Attach to Form 1040.

OMB No. 1545-0074


Name(s) shown on return Your social security number

Part I

Interest

(See instructions and the instructions for Form 1040, line 2b.)

Note: If you received a Form 1099-INT, Form 1099-OID, or substitute statement from a brokerage firm, list the firm’s name as the payer and enter the total interest shown on that form.

1 List name of payer. If any interest is from a seller-financed mortgage and thebuyer used the property as a personal residence, see the instructions and list thisinterest first. Also, show that buyer’s social security number and address

Amount

2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . . 2

3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . . 3

4

Subtract line 3 from line 2. Enter the result here and on Form 1040, line 2b . . 4

Note: If line 4 is over $1,500, you must complete Part III. Amount

Part II

Ordinary

Dividends

(See instructions and the instructions for Form 1040, line 3b.)

Note: If you received a Form 1099-DIV or substitute statement from a brokerage firm, list the firm’s name as the payer and enter the ordinary dividends shown on that form.

5 List name of payer

5

6

Add the amounts on line 5. Enter the total here and on Form 1040, line 3b . . 6

Note: If line 6 is over $1,500, you must complete Part III.

Part III

Foreign

Accounts

and Trusts

(See instructions.)

You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No

7

a

At any time during 2018, did you have a financial interest in or signature authority over a financialaccount (such as a bank account, securities account, or brokerage account) located in a foreigncountry? See instructions . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” are you required to file FinCEN Form 114, Report of Foreign Bank and FinancialAccounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114and its instructions for filing requirements and exceptions to those requirements . . . . . .

b

If you are required to file FinCEN Form 114, enter the name of the foreign country where the financial account is located

8 During 2018, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? If “Yes,” you may have to file Form 3520. See instructions . . . . . . . . .

For Paperwork Reduction Act Notice, see your tax return instructions. Schedule B (Form 1040) 2018

QNA


VETERANS FEDERAL CU 1500NE GAS PARTNERS LP 54

1554

1554

AMERICANA FUNDS 657NE GAS PARTNERS LP 107

764

X

X

SCHEDULE C-EZ (Form 1040)

Department of the Treasury Internal Revenue Service (99)

Net Profit From Business (Sole Proprietorship)

Partnerships, joint ventures, etc., generally must file Form 1065.

Attach to Form 1040, 1040NR, or 1041. See instructions on page 2.

OMB No. 1545-0074

2018Attachment Sequence No. 09A

Name of proprietor Social security number (SSN)

Part I General Information

You may use

Schedule C-EZ

instead of

Schedule C

only if you:

• Had business expenses of $5,000 orless,

• Use the cash method of accounting,

• Did not have an inventory at any time during the year,

business,

• Had only one business as either a sole

• Did not have a net loss from your

proprietor, qualified joint venture, orstatutory employee,

And you:

• Had no employees during the year,

• Do not deduct expenses for businessuse of your home,

• Do not have prior year unallowedpassive activity losses from this business, and

• Are not required to file Form 4562,Depreciation and Amortization, for this business. See the instructions for Schedule C, line 13, to find out if you must file.

A Principal business or profession, including product or service B Enter business code (see page 2)

C Business name. If no separate business name, leave blank. D Enter your EIN (see page 2)

E Business address (including suite or room no.). Address not required if same as on page 1 of your tax return.

City, town or post office, state, and ZIP code

F Did you make any payments in 2018 that would require you to file Form(s) 1099? (see the Instructions for Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

G If “Yes,” did you or will you file required Forms 1099? . . . . . . . . . . . . . . . . . Yes No

Part II Figure Your Net Profit

1 Gross receipts. Caution: If this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked, see Statutory employees in the instructions for Schedule C, line 1, and check here . . . . . . . . . . . . . . . . . . 1

2 Total expenses (see page 2). If more than $5,000, you must use Schedule C . . . . . . . 2

3 Net profit. Subtract line 2 from line 1. If less than zero, you must use Schedule C. Enter on both Schedule 1 (Form 1040), line 12, and Schedule SE, line 2, or on Form 1040NR, line 13, and Schedule SE, line 2 (see page 2). (Statutory employees do not report this amount on Schedule SE, line 2.) Estates and trusts, enter on Form 1041, line 3. . . . . . . . . . . . . . . 3

Part III Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 2.

4 When did you place your vehicle in service for business purposes? (month, day, year) .

5 Of the total number of miles you drove your vehicle during 2018, enter the number of miles you used your vehicle for:

a Business b Commuting (see page 2) c Other

6 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . Yes No

7 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . Yes No

8a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . Yes No

b If “Yes,” is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . Yes No

For Paperwork Reduction Act Notice, see the separate instructions for Schedule C (Form 1040). Schedule C-EZ (Form 1040) 2018

QNA


INDEPENDENT 7 1 1 5 1 0

JAMES WELLS AUTHOR

3947 UNIVERSITY DRIVE

NASHUA NH 03063

X

2100

2100

QNA


-1201

-1201

157

97

254

QNA

WELLS 306-00-0672

-947

947

X

Schedule SE (Form 1040) 2018 Attachment Sequence No. 17 Page 2

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR) Social security number of person with self-employment income

Section B—Long Schedule SE

Part I Self-Employment Tax

Note: If your only income subject to self-employment tax is church employee income, see instructions. Also see instructions for the definition of church employee income.

A If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had $400 or more of other net earnings from self-employment, check here and continue with Part I . . . . . .

1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A. Note: Skip lines 1a and 1b if you use the farm optional method (see instructions) 1a

b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code AH 1b ( )

2 Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report onthis line. See instructions for other income to report. Note: Skip this line if you use the nonfarmoptional method (see instructions) . . . . . . . . . . . . . . . . . . . . 2

3 Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . . 3

4 a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter amount from line 3 4a

Note: If line 4a is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions.b If you elect one or both of the optional methods, enter the total of lines 15 and 17 here . . 4b

c Combine lines 4a and 4b. If less than $400, stop; you don't owe self-employment tax. Exception: If less than $400 and you had church employee income, enter -0- and continue 4c

5 a Enter your church employee income from Form W-2. See instructions for definition of church employee income . . . 5a

b Multiply line 5a by 92.35% (0.9235). If less than $100, enter -0- . . . . . . . . . . 5b

6 Add lines 4c and 5b . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Maximum amount of combined wages and self-employment earnings subject to social security tax or the 6.2% portion of the 7.65% railroad retirement (tier 1) tax for 2018 . . . . . . 7

8 a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2) and railroad retirement (tier 1) compensation. If $128,400 or more, skip lines 8b through 10, and go to line 11 8a

b Unreported tips subject to social security tax (from Form 4137, line 10) 8b

c Wages subject to social security tax (from Form 8919, line 10) 8c

d Add lines 8a, 8b, and 8c . . . . . . . . . . . . . . . . . . . . . . . 8d

9 Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11 . 9

10 Multiply the smaller of line 6 or line 9 by 12.4% (0.124) . . . . . . . . . . . . . 10

11 Multiply line 6 by 2.9% (0.029) . . . . . . . . . . . . . . . . . . . . . 11

12 Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 4 (Form 1040), line

57, or Form 1040NR, line 55 . . . . . . . . . . . . . . . . . . . . . 12

13 Deduction for one-half of self-employment tax.

Multiply line 12 by 50% (0.50). Enter the result here and on Schedule 1 (Form 1040), line 27, or Form 1040NR, line 27 . 13

Part II Optional Methods To Figure Net Earnings (see instructions) Farm Optional Method. You may use this method only if (a) your gross farm income1

wasn't more than $7,920, or (b) your net farm profits2

were less than $5,717. 14 Maximum income for optional methods . . . . . . . . . . . . . . . . . . 14

15 Enter the smaller of: two-thirds (2/3) of gross farm income1 (not less than zero) or $5,280. Also include this amount on line 4b above . . . . . . . . . . . . . . . . . . . 15

Nonfarm Optional Method. You may use this method only if (a) your net nonfarm profits3 were less than $5,717

and also less than 72.189% of your gross nonfarm income,4 and (b) you had net earnings from self-employment

of at least $400 in 2 of the prior 3 years. Caution: You may use this method no more than five times.

16 Subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . . 16

17

Enter the smaller of: two-thirds (2/3) of gross nonfarm income4 (not less than zero) or the

amount on line 16. Also include this amount on line 4b above . . . . . . . . . . . 17

1 From Sch. F, line 9, and Sch. K-1 (Form 1065), box 14, code B. 2 From Sch. F, line 34, and Sch. K-1 (Form 1065), box 14, code A—minus the

amount you would have entered on line 1b had you not used the optional method.

3 From Sch. C, line 31; Sch. C-EZ, line 3; Sch. K-1 (Form 1065), box 14, code A; and Sch. K-1 (Form 1065-B), box 9, code J1.

4 From Sch. C, line 7; Sch. C-EZ, line 1; Sch. K-1 (Form 1065), box 14, code C; and Sch. K-1 (Form 1065-B), box 9, code J2.

Schedule SE (Form 1040) 2018

128,400 00

5,280 00

QNA


2100 2100 1939

1939

1939

128400 240 56

296

148

Form 5329Department of the Treasury Internal Revenue Service (99)

Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts

Attach to Form 1040 or Form 1040NR.

Go to www.irs.gov/Form5329 for instructions and the latest information.

OMB No. 1545-0074


Name of individual subject to additional tax. If married filing jointly, see instructions. Your social security number

Fill in Your Address Only if You Are Filing This Form by Itself and Not With Your Tax Return

Home address (number and street), or P.O. box if mail is not delivered to your home Apt. no.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete the spaces below. See instructions.

If this is an amended return, check here

Foreign country name Foreign province/state/county Foreign postal code

If you only owe the additional 10% tax on early distributions, you may be able to report this tax directly on Schedule 4 (Form 1040), line 59, or Form 1040NR, line 57, without filing Form 5329. See the instructions for Schedule 4 (Form 1040), line 59, or for Form 1040NR, line 57.Part I Additional Tax on Early Distributions. Complete this part if you took a taxable distribution (other than a qualified

disaster distribution) before you reached age 59½ from a qualified retirement plan (including an IRA) or modified endowment contract (unless you are reporting this tax directly on Form 1040 or Form 1040NR—see above). You may also have to complete this part to indicate that you qualify for an exception to the additional tax on early distributions or for certain Roth IRA distributions. See instructions.

1 Early distributions included in income. For Roth IRA distributions, see instructions . . . . . . 1

2 Early distributions included on line 1 that are not subject to the additional tax (see instructions).Enter the appropriate exception number from the instructions: . . . . . . . . . 2

3 Amount subject to additional tax. Subtract line 2 from line 1 . . . . . . . . . . . . . 3

4 Additional tax. Enter 10% (0.10) of line 3. Include this amount on Schedule 4 (Form 1040), line 59, or Form 1040NR, line 57 4

Caution: If any part of the amount on line 3 was a distribution from a SIMPLE IRA, you may have to include 25% of that amount on line 4 instead of 10%. See instructions.

Part II Additional Tax on Certain Distributions From Education Accounts and ABLE Accounts. Complete this part if you included an amount in income, on Schedule 1 (Form 1040), line 21, or Form 1040NR, line 21, from a Coverdell education savings account (ESA), a qualified tuition program (QTP), or an ABLE account.

5 Distributions included in income from a Coverdell ESA, a QTP, or an ABLE account . . . . . 5

6 Distributions included on line 5 that are not subject to the additional tax (see instructions) . . . 6

7 Amount subject to additional tax. Subtract line 6 from line 5 . . . . . . . . . . . . . 7


Part III Additional Tax on Excess Contributions to Traditional IRAs. Complete this part if you contributed more to your traditional IRAs for 2018 than is allowable or you had an amount on line 17 of your 2017 Form 5329.

9 Enter your excess contributions from line 16 of your 2017 Form 5329. See instructions. If zero, go to line 15 9

10

If your traditional IRA contributions for 2018 are less than your maximum allowable contribution, see instructions. Otherwise, enter -0- 10

11 2018 traditional IRA distributions included in income (see instructions) . 11

12 2018 distributions of prior year excess contributions (see instructions) . 12

13 Add lines 10, 11, and 12 . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Prior year excess contributions. Subtract line 13 from line 9. If zero or less, enter -0- . . . . . 14

15 Excess contributions for 2018 (see instructions) . . . . . . . . . . . . . . . . . 15

16 Total excess contributions. Add lines 14 and 15 . . . . . . . . . . . . . . . . . 16

17

Additional tax. Enter 6% (0.06) of the smaller of line 16 or the value of your traditional IRAs on December 31, 2018 (including 2018 contributions made in 2019). Include this amount on Schedule 4 (Form 1040), line 59, or Form 1040NR, line 57 . . . 17

Part IV Additional Tax on Excess Contributions to Roth IRAs. Complete this part if you contributed more to your Roth IRAs for 2018 than is allowable or you had an amount on line 25 of your 2017 Form 5329.

18 Enter your excess contributions from line 24 of your 2017 Form 5329. See instructions. If zero, go to line 23 18

19

If your Roth IRA contributions for 2018 are less than your maximum allowable contribution, see instructions. Otherwise, enter -0- . . . . 19

20 2018 distributions from your Roth IRAs (see instructions) . . . . . 20

21 Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . . . 21




25

Additional tax. Enter 6% (0.06) of the smaller of line 24 or the value of your Roth IRAs on December 31, 2018 (including 2018 contributions made in 2019). Include this amount on Schedule 4 (Form 1040), line 59, or Form 1040NR, line 57 . . 25

For Privacy Act and Paperwork Reduction Act Notice, see your tax return instructions. Form 5329 (2018)

ELENA A WELLS

QNA

316-00-0672

7000

05 7000

Form 5329 (2018) Page 2

Part V Additional Tax on Excess Contributions to Coverdell ESAs. Complete this part if the contributions to your Coverdell ESAs for 2018 were more than is allowable or you had an amount on line 33 of your 2017 Form 5329.

26 Enter the excess contributions from line 32 of your 2017 Form 5329. See instructions. If zero, go to line 31 26

27

If the contributions to your Coverdell ESAs for 2018 were less than the maximum allowable contribution, see instructions. Otherwise, enter -0- 27

28 2018 distributions from your Coverdell ESAs (see instructions) . . . 28

29 Add lines 27 and 28 . . . . . . . . . . . . . . . . . . . . . . . . . . 29




33

Additional tax. Enter 6% (0.06) of the smaller of line 32 or the value of your Coverdell ESAs on December 31, 2018 (including 2018 contributions made in 2019). Include this amount on Schedule4 (Form 1040), line 59, or Form 1040NR, line 57 . . . . . . . . . . . . . . . . . 33

Part VI Additional Tax on Excess Contributions to Archer MSAs. Complete this part if you or your employer contributed more to your Archer MSAs for 2018 than is allowable or you had an amount on line 41 of your 2017 Form 5329.

34 Enter the excess contributions from line 40 of your 2017 Form 5329. See instructions. If zero, go to line 39 34

35

If the contributions to your Archer MSAs for 2018 are less than the maximum allowable contribution, see instructions. Otherwise, enter -0- 35

36 2018 distributions from your Archer MSAs from Form 8853, line 8 . . 36

37 Add lines 35 and 36 . . . . . . . . . . . . . . . . . . . . . . . . . . 37




41

Additional tax. Enter 6% (0.06) of the smaller of line 40 or the value of your Archer MSAs onDecember 31, 2018 (including 2018 contributions made in 2019). Include this amount on Schedule4 (Form 1040), line 59, or Form 1040NR, line 57 . . . . . . . . . . . . . . . . . 41

Part VII Additional Tax on Excess Contributions to Health Savings Accounts (HSAs). Complete this part if you, someone on your behalf, or your employer contributed more to your HSAs for 2018 than is allowable or you had an amount on line 49 of your 2017 Form 5329.

42 Enter the excess contributions from line 48 of your 2017 Form 5329. If zero, go to line 47 . . . 42

43

If the contributions to your HSAs for 2018 are less than the maximum allowable contribution, see instructions. Otherwise, enter -0- . . . . 43

44 2018 distributions from your HSAs from Form 8889, line 16 . . . . 44

45 Add lines 43 and 44 . . . . . . . . . . . . . . . . . . . . . . . . . . 45




49

Additional tax. Enter 6% (0.06) of the smaller of line 48 or the value of your HSAs on December 31, 2018 (including 2018 contributions made in 2019). Include this amount on Schedule 4 (Form 1040), line 59, or Form 1040NR, line 57 49

Part VIII Additional Tax on Excess Contributions to an ABLE Account. Complete this part if contributions to your ABLE account for 2018 were more than is allowable.


51

Additional tax. Enter 6% (0.06) of the smaller of line 50 or the value of your ABLE account on December 31, 2018. Include this amount on Schedule 4 (Form 1040), line 59, or Form 1040NR, line 57 51

Part IX Additional Tax on Excess Accumulation in Qualified Retirement Plans (Including IRAs). Complete this part if you did not receive the minimum required distribution from your qualified retirement plan.

52 Minimum required distribution for 2018 (see instructions) . . . . . . . . . . . . . . 52

53 Amount actually distributed to you in 2018 . . . . . . . . . . . . . . . . . . . 53

54 Subtract line 53 from line 52. If zero or less, enter -0- . . . . . . . . . . . . . . . 54


Sign Here Only if You

Are Filing This Form by

Itself and Not With Your

Tax Return

Under penalties of perjury, I declare that I have examined this form, including accompanying attachments, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Your signature Date

Paid Preparer Use Only

Print/Type preparer’s name Preparer’s signature DateCheck if self-employed

PTIN

Firm’s name

Firm’s address

Firm’s EIN

Phone no.

Form 5329 (2018) QNA

ELENA A WELLS

QNA

316-00-0672

Form 8283 (Rev. December 2014)Department of the Treasury Internal Revenue Service

Noncash Charitable Contributions Attach to your tax return if you claimed a total deduction

of over $500 for all contributed property.

Information about Form 8283 and its separate instructions is at www.irs.gov/form8283.

OMB No. 1545-0908

Attachment Sequence No. 155

Name(s) shown on your income tax return Identifying number

Note. Figure the amount of your contribution deduction before completing this form. See your tax return instructions.

Section A. Donated Property of $5,000 or Less and Publicly Traded Securities—List in this section only items (or groups of similar items) for which you claimed a deduction of $5,000 or less. Also list publicly traded securities even if the deduction is more than $5,000 (see instructions).

Part I Information on Donated Property—If you need more space, attach a statement.

1 (a) Name and address of the

donee organization

(b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification

number (unless Form 1098-C is attached).

(c) Description of donated property (For a vehicle, enter the year, make, model, and

mileage. For securities, enter the company name and the number of shares.)

A

B

C

D

E

Note. If the amount you claimed as a deduction for an item is $500 or less, you do not have to complete columns (e), (f), and (g).

(d) Date of the

contribution (e) Date acquired by donor (mo., yr.)

(f) How acquired by donor

(g) Donor’s cost or adjusted basis

(h) Fair market value (see instructions)

(i) Method used to determine the fair market value

A

B

C

D

E

Part II Partial Interests and Restricted Use Property—Complete lines 2a through 2e if you gave less than an entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a contribution listed in Part I; also attach the required statement (see instructions).

2a Enter the letter from Part I that identifies the property for which you gave less than an entire interest If Part II applies to more than one property, attach a separate statement.

b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year (2) For any prior tax years

c Name and address of each organization to which any such contribution was made in a prior year (complete only if different from the donee organization above): Name of charitable organization (donee)

Address (number, street, and room or suite no.)

City or town, state, and ZIP code

d For tangible property, enter the place where the property is located or kept e Name of any person, other than the donee organization, having actual possession of the property

3a Is there a restriction, either temporary or permanent, on the donee’s right to use or dispose of the donated property? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes No

b Did you give to anyone (other than the donee organization or another organization participating with the donee organization in cooperative fundraising) the right to the income from the donated property or to the possession of the property, including the right to vote donated securities, to acquire the property by purchase or otherwise, or to designate the person having such income, possession, or right to acquire? . . . . . . . . . . . . .

c Is there a restriction limiting the donated property for a particular use? . . . . . . . . . . . . . .

For Paperwork Reduction Act Notice, see separate instructions. Form 8283 (Rev. 12-2014)QNA


HABITAT FOR HUMANITY125 MAIN STNASHUA NH 03063 FURNITURE

10/13/2018 VARIOUS PURCHASE 6000 2500 THRIFT SHOP VALUE

DRAFT AS OF

JAMES & ELENA WELLS306-00-0672

JAMES WELLS AUTHOR 2100

***** FILE COPY ONLY - DO NOT MAIL *****

2100

2100

420

420

41329

-335

41664

8333

420

Trade or business name EIN __________ QB Income

Supporting Statements for SCHEDULE AClient : WELLS 306-00-0672________________________________________________________________________________

Medical and Dental Expenses

Description of Expense Amount______________________ __________Medical and Dental Insurance 2824Amount Paid to Doctors, Dentists, Eye Doctors, etc. 2055Prescription Medicine, Drugs, or Insulin 2128Hospital Care including Meals and Lodging 2648Mileage (625 miles x 0.180) 113OTHER MEDICAL EXPENSES 300 __________

TOTALS: 10068

4.

5.6.

7.

1

3

5

6

9.

11.

12.

13.

14.

16.

17.

18.

19.

20.

22.

23.

24.

26.

27.

8

Carryover

13

14

16

17

18

19

20

22

23

24

26

27

28.

29.3031

8.

28

29

30.31.

3233

2

32.

35

3636. Subtract line 34 from line 1

34. 34

35.

4

7

11

10

12

15

21

25

3737. Add lines 13, 19, 22, 27, 31, and 36. Carry this amount forward to Schedule A (Form

1040) next year

25.

15.

21.

Worksheet 2. Applying the Deduction LimitsIf the result on any line is less than zero, enter zero. For other instructions, see Instructions for Worksheet 2.Caution: Don't use this worksheet if you have a carryover of a charitable contribution from an earlier year.

Keep for your records

Step 2. List your other charitable contributions made during the year.

Step 3. Figure your deduction for the year and your carryover to the next year.

Enter your contributions to 50% limit organizations. (Include contributions of capital gain property if youreduced the property’s fair market value. Don’t include contributions of capital gain property deducted at fairmarket value.) Don’t include any contributions you entered on line 1, 2, or 3

Enter your contributions (other than of capital gain property) to qualified organizations that aren’t 50% limitorganizations

Enter your contributions to 50% limit organizations of capital gain property deducted at fair market value

Enter your contributions “for the use of” any qualified organization. (But don’t enter here any amount thatmust be entered on line 9.)

Add lines 6 and 7

Enter your contributions of capital gain property to or for the use of any qualified organization. (But don’tenter here any amount entered on line 4 or 5.)

Enter your adjusted gross income

Multiply line 10 by 0.5. This is your 50% limit

Contributions to 50% limit organizations

Enter the smaller of line 4 or line 11

Subtract line 12 from line 4


Contributions not to 50% limit organizations

Add lines 4 and 5



Enter the smallest of line 8, 16, or 17



Contributions of capital gain property to 50% limit organizations

Enter the smallest of line 5, 14, or 16




Other contributions


Enter the smallest of line 9, 20, 23, 24, or 25


Add lines 12, 18, 21, and 26


Enter the smaller of line 2 or line 29Subtract line 30 from line 2

Add lines 28 and 30

33. Subtract line 32 from line 10

Enter the smaller of line 1 or line 33

Add lines 32 and 34. Enter the total here and on Schedule A (Form 1040), line 16 or line 17, whichever is appropriate

1.

2.

Step 1. Enter any qualified conservation contributions (QCCs).

If you are a qualified farmer or rancher, enter any QCCs eligible for the 100% limit

Enter any QCCs not entered on line 1. Don’t include this amount on line 4, 5, 6, 7, or 9

3. Enter contributions for certain Presidentially declared disaster areas that you elect to treat as qualifiedcontributions. Do not include this amount on line 4 below

10.

9

QNA


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78519 39260

26350

12910

26350 23556 12910

23556

12910 23556

15704

26350 12910

26350 52169

26350

WELLS 306-00-0672

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612

612

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*** FILE COPY ONLY -- DO NOT MAIL ***

**** SUPPORTING NOTES FOR SCHEDULE A____________________________________306-00-0672JAMES & ELENA WELLS

----------------------------------------Schedule of Payments to Doctors/Dentists:

Description___________ Amount______DENTIST BILL 885DOCTOR BILL 1,170___________ ______Total Payments to Doctors/Dentists: 2,055

----------------------------------------Schedule of Hospital Care:

Description___________ Amount______HOSPITAL BILL INCLUDING MEALS 2,648___________ ______Total Hospital Care: 2,648

----------------------------------------Schedule of Medical Miles:

Description___________ Amount______MEDICAL MILES 625___________ ______Total Medical Miles: 625

----------------------------------------Schedule of Other Medical Expenses:

Description___________ Amount______HOSPITAL PARKING FEES 50LODGING WHILE BEING TREATED 250___________ ______Total Other Medical Expenses: 300

JAMES & ELENA WELLS 2018 INCOME TAX RETURN...Form 1040 Department of the Treasury—Internal Revenue...

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Transcript of JAMES & ELENA WELLS 2018 INCOME TAX RETURN...Form 1040 Department of the Treasury—Internal Revenue...